There are important changes to a teenager's body that can happen as early as 6 or as late as 20. At this time of life we have some questions we need to ask and which we need to hear about at regular intervals.

Use a BLACK or BLUE pen when you fill in the
questionnaire.

Please read carefully the instructions on page 3.

You will have seen fairly recently that we now have an electronic scanner that will record your answers automatically.

Use a BLACK or BLUE pen

Your answers will of course still be completely confidential and not attached to your actual name

Have you ever had any of the following symptoms associated with your period? Period-type pains or pain in your pelvic area (lower part of your tummy) for most days of the month even when you are not bleeding?

Sometimes, if teenagers have problems with their periods e.g. heavy bleeding, irregular
bleeding or cramps, their GP may prescribe the oral contraceptive pill (which can be called
'hormone' or 'oestrogen pills') to help.

We would like to assess the stage of your physical development using the drawings
on the next pages. These show various stages commonly used by doctors to assess
the growth and development of girls.

We need to know which drawings most closely match your stage of development at the moment.

Not all teenagers follow the same pattern of development. Just pick the stage that is closest, based on both the picture and the description.

Section B

The drawings below show stages of the way the breasts develop. A teenager can
go through each of the five stages shown, although some teenagers skip some
stages. Please look at each of the drawings. It is also important to read the
descriptions.

The nipple is raised a little in this stage. The rest of the breast is still flat.

2

This is the breast bud stage. In this stage the nipple is raised more than in stage 1. The breast is a small mound. The dark area around the nipple (areola) is larger than in stage 1.

3

The areola and the breast are both larger than in stage 2. The areola does not stick out away from the breast

4

The areola and the nipple make up a mound that sticks up above the shape of the breast. (Note: This stage may not happen at all for some teenagers. Some teenagers develop from stage 3 to stage 5 with no stage 4.)

5

This is the mature adult stage. The breasts are fully developed. Only the nipple sticks out in this stage. The areola has moved back in the general shape of the breast.

Section C

The drawings below show different amounts of female pubic hair. A teenager can go through each of the five stages shown. Please look at each of the drawings. It is also important to read the descriptions.

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There are important changes to a teenager's body that can happen as early as 6 or as late as 20. At this time of life we have some questions we need to ask and which we need to hear about at regular intervals.

Have you ever had any of the following symptoms associated with your period? Period-type pains or pain in your pelvic area (lower part of your tummy) for most days of the month even when you are not bleeding?

Sometimes, if teenagers have problems with their periods e.g. heavy bleeding, irregular
bleeding or cramps, their GP may prescribe the oral contraceptive pill (which can be called
'hormone' or 'oestrogen pills') to help.

Section B

The drawings below show stages of the way the breasts develop. A teenager can
go through each of the five stages shown, although some teenagers skip some
stages. Please look at each of the drawings. It is also important to read the
descriptions.

The nipple is raised a little in this stage. The rest of the breast is still flat.

2

This is the breast bud stage. In this stage the nipple is raised more than in stage 1. The breast is a small mound. The dark area around the nipple (areola) is larger than in stage 1.

3

The areola and the breast are both larger than in stage 2. The areola does not stick out away from the breast

4

The areola and the nipple make up a mound that sticks up above the shape of the breast. (Note: This stage may not happen at all for some teenagers. Some teenagers develop from stage 3 to stage 5 with no stage 4.)

5

This is the mature adult stage. The breasts are fully developed. Only the nipple sticks out in this stage. The areola has moved back in the general shape of the breast.

Section C

The drawings below show different amounts of female pubic hair. A teenager can go through each of the five stages shown. Please look at each of the drawings. It is also important to read the descriptions.